(OCN - ONCOLOGIC
EMERGENCIES)
QUESTIONS AND
CORRECT ANSWERS
GRADED A+ 2025-2026
Which of the following cancers is associated with the development of disseminated
intravascular coagulation?
Mucin-secreting adenocarcinoma of the breast
Nonhyperdiploid variant multiple myeloma
Primary peritoneal carcinoma
Acral lentiginous melanoma - ANS-Mucin-secreting adenocarcinoma of the breast
Answer: The incidence of disseminated intravascular coagulation is associated mostly
with mucin-secreting adenocarcinomas of the prostate, lung, and breast.
Reference: Kaplan, M. (Ed.). (2013). Understanding and managing oncologic
emergencies: A resource for nurses (2nd ed.). Pittsburgh, PA: Oncology Nursing Society,
p. 69.
Which of the following is released into the bloodstream in the event of tumor lysis
syndrome?
, Uric acid
Sodium
Magnesium
Calcium - ANS-Uric acid
Answer: Tumor lysis syndrome is a massive, sudden release of cellular contents in to
the bloodstream resulting in elevated uric acid levels.
Reference: Kaplan, M. (Ed.). (2013). Understanding and managing oncologic
emergencies: A resource for nurses (2nd ed.). Pittsburgh, PA: Oncology Nursing Society,
p. 440.
Which of the following classes of medication will most significantly increase the risk
for the development of a cytokine-release syndrome reaction?
Monoclonal antibodies
Taxanes
Platinum compounds
Anthracyclines - ANS-Monoclonal antibodies
Answer: Monoclonal antibodies can cause cytokine-release syndrome.
Reference: Newton, S., Hickey, M., & Marrs, J. (2017). Mosby's oncology nursing advisor:
A comprehensive guide to clinical practice (2nd ed.). St. Louis, MO: Elsevier Mosby, p.
243.
When a suspected extravasation occurs during the administration of a vesicant, the
nurse must first:
stop the administration of medication and fluids.
remove the peripheral IV or central venous access device.
aspirate the remaining vesicant from the IV tubing.